HomeMy WebLinkAbout2326 LA COSTA AVE; B; CB960307; PermittJ,../2h/9t, 11:41l
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B U I L [J I N
1Job Ad1res_:;: LJ2o LA COSTA AV
Pt;llnlt Tvpe: PATIU/['E }-,
P E R M l T
Su.i te: .lb
Lot.# :
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ProJE'Ct Nv: A';Jr 004..1L
r1evelopment No:
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-A Pc.ucel No: 2.1t)-31U-14 1 1:f
Vdluat1on: L ti
Occupancy Group: Rt'terencen:
lonstru1..,tion 'L'ype: NEW
~tatu~: !.:,SUED
Appl 1ed: I, 2/ l t.,/9 h
A~r/Issue: 02/l6/9b
EnterE·cJ By: RMA
t>l9-94tl-OH31
Description: 112 ~F DECK W/
: UNITS A&B-W/ 1
STAIRS-BETWEEN
SET OF S"'A.IR.:>
Appl/Owru : SC!-IOLE::3, RUBERT
12t>2. ~>AN £.>IEGUIT0 DR
ENCINI~AS, CA 92UL4
Fees Re-..1u1red **A Ff::la'S Collected~ Credits A 'A*
Fees:
Ad..;u.:;tmer:.ts:
' .. 'otal Fe-=-s:
Fee •lescr1 pt ion
Building Permit
Plan Check
Strong Motion Fee
* BUILDING TOTAL
32.0
.OIJ
32 .0\l
-------------~---
Total C ei'.il-t$:
Total Pc1Y,IT'Emt:.::;:
E: lance Due:
Units F'E-e/lJn1t
CITY OF CARLSBAD
2075 Las Palmas Dr., Carlsbad, CA 92009 (619) 438-1161
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19.00
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.J2.00
PERMIT APPLICATION PLAN CHECK NO.
City of Carlsbad Building Department
2075 Las PalES Dr., tarlsbad, CA 92009 (619) 438-1161 F.Sf. VAL. _ __,_(_l__:::,J,::____::::,.___
I. PkkMII fiPR PLAN CK DEPOSIT ___ _,,,,__ __ _ ~~-BY 'tZJ -6-l, l if From Llst 1 (see back) give code of Permit-Type: ___________ _
For Residential Projects Only: From Llst 2 (see back) give
Code of Structure-Type: ____________________ _
Net Loss/Gain of Dwelling Units
2. PRCllECT INFORMATION FOR OFFICE USE ONLY
Address :2 3 '.2<• /..,.<.c", f,,. l'I vt Bmldmg or Suite No. fl + /3
Nearest Cross Street f_/
mt o. ase o.
CHECK BEWW IF SOBMII IED:
D 2 Energy Gales □ 2 Structural Cales □ 2 Soils Report □ l Addressed Envelope
ASSESSOR'S PARCEi. EXISTING USE PROPOSED USE
DESCRIPTION OF WORK
SQ. IT. # OF STORIES # OF BEDROOMS # OF BATHROOMS
1 1 eren rom app 1can
NAME (last.name first) ADDRESS
CITY STATE ZIP CODE DAY TELEPHONE
4. Af'Pl.JU\NJ lllCUNJHAClUK UAG£NI FORCONIRACIOR LJUWNttl DAGEN! FOR OWNER
NAME (last name first) 'oc hol E5 Rolof ~ + ADDRESS /!U,IJ-s,.,, /),f5v,/,:, PR
CITY ~a~ STATE c~ ZIP CODE 92..C 2'-/ DAYTELEPHONE {1c,1q) 9'f)<'JIRI
5. PRoiF1V' Af' V 1 µ NAME (last name first) ,.. •<1 Mal b 11 ADDRESS P. D Bo)( II 8(., Bo.-.";i..
C I I J 011 /Wl DAY TELEPHONE / 1 1" ) :£ od J f g_ ~~tftib~Jf'L STATE Cr:J.. ZIP CODE 7A~ \...\0 ,_ ==-= f Hi{ 110~oqoo
NAME (last name first) Schei,:; \?obud-ADDRESS J,U.r).. 5,-1n l>iEJ"• io i),e
ZIP CODE 9 J..02.'-( DAY TELEPHONE~/'/) 9</fJ-Ol'i:Ji
8 CITY BUSINESS UC. # i ::,_c,,:z_ 0 ""
STATE l!t.
STATE UC.#fo5'11, !J UCENSE CLASS
DESIGNER NAME (last name hrst) 5c: he/ts tobi,e +-
CITY II ' STATE c,;q.-ZIP CODE
ADDRESS /L-1.2.. s~.-. b,' c,rl-o'/,)R.
DAY TELEPHON /,,/ 7Jll?J -o/8irrATE UC. #
Workers' Compensatton Declaration: I hereby affirm that I have a certificate of consent to seif-msure issued by the Dlfector of lndustnal
Relations, or a certificate of Workers' Compensation Insurance by an admitted insurer, or an exact copy or duplicate thereof certified
by the Director of the insurer thereof filed with the Building Inspection Department (Section 38001 Lab. C).
INSURANCE COMPANY POUCY NO. EXPIRATION DATE
Certthcate of Exemptton: I certtfY that m the performance of the work for which this permit 1s issued, I shall not employ any person many manner
so as to bee sub' to the Workers' Compensation Laws of California.
SIGNATURE
□
□
□
Owner-Builder Declaration: I hereby afhrm that I am exempt from the Confradofs License Law for the followmg reason:
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or
offered for sale (Sec. 7044, Business and Professions Code: The Contractor's Llcense Law does not apply to an owner of property who builds
or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended
or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden
of proving that he did not build or improve for the purpose of sale.).
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions
Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects
with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section _______ Business and Professions Code for this reason:
(Sec. 7031.5 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the
provisions of the Contractor's License Law (Chapter 9, commencing with Section 7000 of Division 3 of the Business and Professions Code)
or that he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.S by any applicant for a permit
subjects the applicant to a civil penalty or not more than five hundred dollars [$500]).
SIGNATURE DATE
COMPLEIE 'lHIS SECIION FOR NON-RESIDENIIAL B0IWING PERMIIS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and
prevention program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □YES □NO
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district?
□YES □NO
Is the facility to be constructed within 1,000 Feet o( the outer boundary o( a school site?
□ YES □ NO
IF ANY OF TIIE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ~ AFrER JULY I, 1989 llNIJ!SS TIIE APPIJCANT
HAS Mirr OR IS MEETING TIIE REQUIREMENTS OF TIIE OFFICE OF EMERGENCY SERVICES AND TIIE AIR POILIJTION OONTROL DISfRICT.
9. WNSIKOCl10N LENDING AGENCY
I hereby afhrm that there 1s a construction iendmg agency for the performance of the work for which this permit lS ISSued. (Sec 3097(1} C1vU Code).
LENDER'S NAME LENDER'S ADDRESS
10. APPlllAN l CEkiMCAIJUN
I cert.UY that I have read the apphcat1on and state that the above mformauon 1s correct. I agree to comply with all City ordmances and State laws
relating to building construction. I hereby authorize representatives of the City of Carlsbad to enter upon the above mentioned property for inspection
purposes. I ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARMLESS 111E crJY OF CARISBAD AGAINST AIL LIAIIIUTIES, JUDGMENTS, <DSTS
AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CfIY IN OONSEQIJENCE OF TIIE GRANTING OF TIIlS PERMIT.
OSHA: An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height.
Expiration. Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the
building or work authorized by such permit is not commenced within 365 days from the date o( such permit or if the building or work authorized by
such permit is suspended or abandoned t any · e after the work is commenced for a period of 180 days (Section 303(d) Uniform Building Code).
APPUCANTS SIGNATURE DATE: '2.-4 -f'/,
. Applicant PINK: Finance
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Robert Scholes Construction
1262 San Dieguito Drive
Encinitas, CA 92024
619-943-0181
Lie. #656775
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BYANPJ:-OVED
FEB 2 6 1996
City of CP.R!...SBAD
61..111..0lNi.'i DEPT.
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1262 San Dieguito Drive
Encinitas, CA 92024
619-943-0181
Lie. #656775
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